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Questions/Exercises
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1.
Explain the actual legal situation to perform hepatic cell isolation and transplantation.
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2.
Why is it not allowed to use isolated liver cells for cell transplantation from patients that underwent tumor therapy?
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3.
Describe the isolation process of liver cells from large and small liver specimens and describe possible differences and similarities of both procedures.
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4.
Which types of bioreactors/artificial liver devices exist? Explain their advantages and disadvantages.
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5.
Describe the advantages to use human liver cells instead of non-human cells in drug developments.
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6.
Give at least five examples for human hepatocyte transplantation and explain different clinical diseases in which hepatocyte transplantation has been applied.
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7.
In the chapter about “reporter studies for cell fusion”, we describe two studies resulting in contradictory conclusions (Alvarez-Dolado versus Harris). Design a specific experiment that could dissolve the discrepancy.
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8.
A scientist presents a new stem cell derived “hepatocyte-like cell type”. He demonstrates expression of 17 “hepatocyte-factors” by conventional RT-PCR and 12 by immunostaining and concludes: ‘The high number of hepatocyte factors expressed in our stem cell derived cells proves that they are indeed hepatocytes.’ Do you agree? Which additional experiments would you suggest to determine the proximity of these cells to genuine hepatocytes? How can interindividual differences between hepatocytes from different donors be considered?
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9.
Can unmodified embryonic stem cells be used for cell therapy of metabolic liver diseases? (answer: no; risk of teratoma formation).
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10.
Give typical characteristics of a human hepatocyte-like cell and discuss differences and similarities with “native” human hepatocytes.
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Nussler, A.K. et al. (2009). The Holy Grail of Hepatocyte Culturing and Therapeutic Use. In: Santin, M. (eds) Strategies in Regenerative Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-74660-9_9
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